Back Pain Specialist With New Procedure

There are many different causes of back pain and as many ways to treat those causes as described in the article below by a back pain specialist.  Dr. John Shiau also describes a new procedure that he has been perfecting that can be of help to back pain sufferers whose pain is located in a specific area of the body.

Did you know back pain is the second most common reason patients visit their physician, trailing only the common cold? Back pain may stem from a variety of issues, including injuries or chronic conditions. This can be a painful and debilitating ailment that previously often was treated with lengthy, traumatic surgery.

Fortunately, this is no longer the case, and new, innovative medical procedures are available to relieve pain.

Back Pain Specialist

Back Pain Specialist

Some back pain derives from the sacroiliac (SI) joint, located in the bony pelvis between the sacrum and ilium. The pelvis acts as a central base through which large forces are transferred and dissipated. The primary role of the SI joint is to provide stability for the pelvis and bear the load of the upper body. It is commonly reported in clinical literature that up to 25 percent of all lower back pain is caused by the joint.

There are risk factors associated with lower back pain and many are directly associated with lumbar disc injury. They include smoking, poor physical condition, positive family history and occupational lifting.

The cause of SI joint pain is likely a disruption of the movements between the left and right SI joints, from either too much or too little movement. Symptoms of SI joint disruption and dysfunction include: Pain in the lower back, pelvis/buttock, hip/groin and lower extremities, including numbness, tingling and weakness; poor sleeping habits; unilateral leg instability, and sitting problems.

How is it determined that the patient is suffering from SI joint pain and not another ailment? A physician will deliver an injection with either fluoroscopic or CT guidance to ensure a needle is accurately placed in the joint.

If, following the injection, the pain has decreased a significant amount, it can be concluded the SI joint is either the source or a major contributor to lower back pain. If the level of pain does not change, the SI joint is not the primary cause.

LESS INVASIVE OPTION

If the injection proves your pain is the former, then minimally-invasive surgery may be the solution. The iFuse implant system requires a small incision and uses a guide pin to place titanium implants across the SI joint. The small implants are designed to stabilize the joint and prevent improper movement, allowing stable healing through minimization of micro-motion.

Generally, three iFuse implants (small, titanium rods approximately the size of your small finger) are used in the procedure. In contrast to the placement of screws across the SI joint, the iFuse implants are designed to maintain their implant position over time.

Post-operatively, you will need to use crutches, a cane or a walker for three to six weeks, depending on your doctor’s recommendation. He or she will advise you on resuming daily activities as healing and symptoms allow. Depending on your occupation, you may be able to return to work at this time. You will also need to have X-rays taken at six months and one year to assess progress.

If you suffer with back pain and are looking at options to relieve that pain, surgery should usually be your absolute last choice.  But if you are considering surgery, then the less invasive that surgery is the better.  Talk to more than one back pain specialist and get various opinions before making your final decision.

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Back Problems Disc Pain

If you are dealing with back problems/disc pain caused by degenerative disc disease or perhaps a bulging disc, then the following article should be of interest to you.  There have been some new procedures developed to deal with back disc problems.  These procedures which are minimally invasive should make you able to get back on your feet sooner.

Back pain is a fact of life for millions of Americans, and only the common cold keeps more people home from work. And while most back pain will go away on its own, pain that’s caused by a torn or ruptured disc can be chronic, and debilitating. Before now, the only option for repairing a disc tear was traditional—or “open”—back surgery, a procedure that involved general anesthesia, a hospital stay, and a lengthy recovery. But today, surgeons can repair a torn disc with very little trauma, and have you back on your feet the same day, says Kaixuan Liu MD, PhD, chief surgeon at Atlantic Spinal Care in Edison, N.J.

The anatomy of a tear
When doctors talk about disc tears, they’re really talking about ruptures in the annulus fibrosus, the tough outer shell of each vertebral disc that contains a soft, gel-like inner material called the nucleus pulposus. Discs are located between each of the vertebrae in the spine, where they provide stability and act as shock absorbers.

Back Problems Disc Pain

Back Problems/Disc Pain

Disc tears are generally caused by disc degeneration, the standard wear and tear that our bodies experience as we age, and/or an accident or injury. If the nucleus moves into the torn space, the condition becomes a disc herniation. Some tears can go unnoticed, but if the nucleus comes into contact with the spinal cord or nerve roots, you’ll experience pain in the area surrounding the damaged disc and may also feel pain, numbness, tingling, weakness, or spasms in other parts of the body.

There’s also new research suggesting that the pain from a torn disc might be caused by a chemical process, Dr. Liu says. “Studies are finding that tears in the outer annulus stimulate the growth of blood vessels and nerve cells in the area, which help create an inflammatory reaction.”

Treatment options
While some patients experience significant disc tear symptoms, others have no sign at all, and can be completely unaware of the tear. Even in cases where a torn disc is causing pain or other problems, doctors recommend conservative measures such as rest and targeted exercises—surgery is always a last resort, most often necessary for only the roughly 10 percent of patients who don’t respond to conservative treatment.

But if you do require an operation, there’s good news, says Dr. Liu. “The surgery we use to repair disc tears today, called a discectomy, is much less traumatic than it was even a few years back.”
During a traditional “open” discectomy, he explains, the surgeon must make a large incision (typically 5 to 6 inches long) and then cut through the muscles surrounding the spine in order to reach the affected disc. Not surprisingly, that type of operation involved long recovery times and large doses of pain medication. (Open surgeries also involve an increased risk of complications, such as infection.)

Today, surgeons can repair the tear with a lot less trauma. “We perform minimally invasive surgery using a small video camera called an endoscope, which lets us see the spine and surrounding tissue without making a big incision,” he says. In an endoscopic discectomy, the makes a very small incision, typically less than ¾ in. long, then inserts a small metal tube about the size of a pencil. The tube allows him to use the camera and surgical instruments to make the repair without cutting or tearing the patient’s muscles, which ensures less pain and risk of complications and a much shorter recovery time. In fact, most people leave the hospital the same day, and are back to their normal activities in about six weeks.

“Endoscopic procedures are making it possible for patients to find relief from the pain of disc tears and other spinal problems without having to endure a painful, complicated surgery,” Dr. Liu says.

So, if you have been suffering with back pain due to degenerative disc disease or a ruptured disk and have been afraid to undergo back surgery, you might consider this new minimally invasive procedure.  It definitely sounds interesting and worth a try.  If you have had back problems due to disc pain, then this may be the way to go.

To see the original source of this article, please click here.

 

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Back Surgery Procedures

back surgerJust hearing the words “back surgery” can instill fear in the hearts of most patients. There are a few exceptions where back surgery procedures may be necessary, but for the most part, other treatments and therapies can be very effective and should be used. Back surgery is usually recommended only if your back problem is affecting your mobility and other treatments have not been effective. However, despite conservative treatment measures, sometimes back surgery is inevitable.

Back surgery procedures are usually only recommended in a small percentage of cases. The decision to have back surgery should be made by the patient with guidance from his/her doctor. Don’t be afraid to ask for a second opinion, either–that is your right.

Current trends in back surgery are to use minimally invasive procedures such as orthoscopic or laser techniques. Most back surgery will be performed with the patient under anesthesia and in some cases can be performed on an out-patient basis. Just be sure to do your research and make an informed decision before committing to back surgery.

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